Insurance Specialist: Job Description and Education Requirements

Insurance specialists are experts in interpreting insurance policies and determining coverage. With specialized training in billing and coding, they may work in medical and government offices, hospitals, and laboratories.

View 5 Popular Schools »

Insurance Specialist Job Description

Insurance specialists are trained to decipher complicated insurance laws and policies. In a government capacity, insurance specialists may be responsible for ensuring that government programs, such as Medicare and Medicaid, comply with federal law, regulations, and contracts. Specialists may advise on issues related to eligibility and coverage, as well as monitor the compliance of government contractors.

Many insurance specialists are also employed in the health care industry. As such, they may deal with health insurance billing and payments including interpreting billing codes and processing claims. Specialists may also be expected to keep track of patient records and perform other functions integral to the running of a medical office.

Insurance Specialist Education Requirements

While many of the skills necessary to the profession may be learned on the job, prospective insurance specialists may want to consider specialized training in the field. In the health care arena, schools offer certificate and associate's degree programs for medical or health insurance specialists. These programs offer courses in medical coding, medical terminology, and health care law. Graduates may be qualified to earn Health Insurance Portability and Accountability Act (HIPAA) Certification, which shows a greater understanding of the federal statute, which governs privacy of patient medical information.

Certification

For those seeking additional credentials, there are certification programs available to highlight specific skills. For health insurance specialists, the National Center for Competency Testing (NCCT) and the American Academy of Professional Coders (AAPC) offer various certifications. The NCCT offers the Insurance and Coding Specialist certification (www.ncctinc.com). The certification exam for an NCCT credential tests knowledge of medical coding, procedures and terminology. The AAPC offers certifications that reveal expertise in medical coding such as the Certified Professional Coder and the Certified Interventional Radiology Cardiovascular Coder (www.aapc.com).

Salary Info and Job Outlook

According to the U.S. Bureau of Labor Statistics (BLS, www.bls.gov), medical records and health information technicians earned an average salary of $37,710 in May 2013, while billing and posting clerks working in hospitals earned an average of $34,890 a year. The employment of medical records and health information techs is projected by the BLS to increase by 22% between 2012 and 2022, just as billing and posting clerks should see job opportunities arise by about 18% during the same decade. Both figures represent faster-than-average growth.

Show me popular schools

Related to Insurance Specialist: Job Description and Education Requirements

  • Related
  • Recently Updated
  • Popular
Insurance Appraiser: Career Profile

Insurance appraisers require some formal education. Learn about the education, job duties and licensure requirements to see if...

How to Become an Insurance Inspector

Find out how to become an insurance inspector. Research the education requirements and learn about the experience you need to...

Online Bachelor of Business to Become an Insurance Professional

Students who want to pursue a career in insurance can reach their goals by completing a Bachelor of Business Administration...

Insurance Agent Career Overview

Learn about the education and preparation needed to become an insurance agent. Get a quick view of the requirements as well as...

List of Free Online Insurance Courses and Classes

Popular Schools

  • Minimum eligibility requirements:
    • Must complete an application online and submit transcripts for their highest degree earned.
    School locations:
    • Online Learning

    Online Programs

    What is your highest level of education?

  • Minimum eligibility requirements:
    • Applicants must have completed 12 college credits
    School locations:
    • Online Learning
    • California (20 campuses)
    • Washington (1)

    Online and Classroom-Based Programs

    What is your highest level of education?

  • Minimum eligibility requirements:
    • Masters degree applicants must have a Bachelors degree
    • Doctorate degree applicants must have a Masters degree
    School locations:
    • Online Learning

    What is your highest level of education?

  • Minimum eligibility requirements:
    • Must be 18 years of age or older
    School locations:
    • Online Learning

    Distance Learning Programs

    What is your highest level of education?

  • Minimum eligibility requirements:
    • Must live within close proximity to school locations
    • Must be graduated from high school by 2011
    School locations:
    • Minnesota (1 campus)

    Classroom-Based Programs

    • Bachelor
        • Bachelor of Science - Business Management

    What is your highest level of education?

Other Schools:

  • School locations:
    • Pennsylvania (1 campus)
    Areas of study you may find at University of Pennsylvania include:
      • Graduate: Doctorate, First Professional Degree, Master
      • Post Degree Certificate: First Professional Certificate, Post Master's Certificate, Postbaccalaureate Certificate
      • Undergraduate: Associate, Bachelor
    • Business
      • Accounting and Bookkeeping
      • Business Economics
      • Business Finance
      • Business Management and Operations
      • Business Marketing
      • Business Support and Administrative Services
      • Human Resource Management
      • Information System Management
      • International Business
      • Sales and Merchandising
      • Specialized Sales
        • Insurance, General
        • Real Estate Sales, Appraisal, and Finance
  • School locations:
    • Massachusetts (1 campus)
    Areas of study you may find at Boston University include:
      • Graduate: Doctorate, First Professional Degree, Master
      • Post Degree Certificate: First Professional Certificate, Post Master's Certificate, Postbaccalaureate Certificate
      • Undergraduate: Associate, Bachelor
    • Business
      • Accounting and Bookkeeping
      • Business Economics
      • Business Finance
      • Business Management and Operations
      • Business Marketing
      • Business Support and Administrative Services
      • Hospitality Management
      • Human Resource Management
      • Information System Management
      • Specialized Sales
        • Insurance, General
  • School locations:
    • Georgia (1 campus)
    Areas of study you may find at University of Georgia include:
      • Graduate: Doctorate, First Professional Degree, Master
      • Undergraduate: Bachelor
    • Business
      • Accounting and Bookkeeping
      • Business Economics
      • Business Finance
      • Business Management and Operations
      • Business Marketing
      • Human Resource Management
      • Information System Management
      • International Business
      • Specialized Sales
        • Fashion Merchandising
        • Insurance, General
        • Real Estate Sales, Appraisal, and Finance
  • School locations:
    • Iowa (1 campus)
    Areas of study you may find at University of Iowa include:
      • Graduate: Doctorate, First Professional Degree, Master
      • Undergraduate: Bachelor
    • Business
      • Accounting and Bookkeeping
      • Business Economics
      • Business Finance
      • Business Management and Operations
      • Business Marketing
      • Entrepreneurship and Small Business Development
      • Human Resource Management
      • Specialized Sales
        • Insurance, General
  • School locations:
    • Mississippi (1 campus)
    Areas of study you may find at Mississippi State University include:
      • Graduate: Doctorate, First Professional Degree, Master
      • Post Degree Certificate: Post Master's Certificate
      • Undergraduate: Bachelor
    • Business
      • Accounting and Bookkeeping
      • Business Economics
      • Business Finance
      • Business Management and Operations
      • Business Marketing
      • Information System Management
      • Specialized Sales
        • Insurance, General
        • Real Estate Sales, Appraisal, and Finance

Popular Schools

Avg. Wages For Related Jobs

Source: Bureau of Labor Statistics